- Chi 1 0 15% polyp tuyen ung thu hoa.
VIEM GAN VIRUS CAP
. Dai cudng
* Virus viem gan: - A, B, C, D, E.
- 4 tac nhan cd hoi: EBV, CMV, Herpes, sot vang. * Hinh thiic lay truyen:
- Viem gan A, E: diidng tieu hoa.
- Viem gan B: tinh due, me sang con, truyen mau. - Viem gan C: tiem chi'ch, truyen mau, tai nan y te. * Virus A, C, D, E la ARN, virus B la ADN.
* Ty le ngiidi mang H BsAg man tinh 10% d chau A.
* Nhiem virus D kem nhiem virus B hay tren doi tiidng mang HBsAg man tinh.
2. Chan doanLam sang: Lam sang:
- The dien hinh diia tren 3 dau hieu met, hoi chiing gia cum va vang da (80- 90% so BN viem gan virus cap la khong co trieu chiing)
- 2 giai doan: triidc vang da (hoi chiing gia cum, hiem: dau dau, ban, dau kh6p, tam chiing Caroli) thdi gian 3 - 1 0 ngay roi den giai doan vang da.
- Thdi gian u benh (virus A: 1 thang, virus B 2 - 3 thang, virus C 1- 2 thang, virus D: 3 - 6 tuan).
Can lam sang:
- Huy hoai te bao gan transaminase tang.
- M arker huyet thanh: IgM khang virus viem gan A, H BsAg va IgM anti HBc, IgM,anti HDV, AC anti HVC diidng ti'nh sau 1- 3 thang
- Phat hien sdm virus viem gan bang phufdng phap khuyech dai gen PCR.
- Sieu am bung binh thiidng.
- 2 dau hieu nang cua benh: hon me gan va TP < 50% phai vao vien neu co 2 dau hieu nang
- Nguy cd chuyen sang man tinh: 0% vdi viem gan virus A, 10% vdi viem gan virus B (90% d tre em), 70% vdi viem gan virus C, 90% doi vdi viem gan virus B + D.